| Dimension and Indicator |
Year |
State Rate |
All States
Median |
Top 5 States
Average |
Best State Rate |
Rank |
| Affordability & Access |
2011 Scorecard |
29 |
| Median annual cost for private-pay nursing home resident, as percentage of median household income, age 65 |
2010 |
217 |
224 |
171 |
166 |
20 |
| Median annual cost for private-pay home care, as percentage of median household income, age 65 |
2010 |
96 |
89 |
69 |
55 |
37 |
| Private long-term care insurance policies in effect per 1,000 population, age 40 |
2009 |
103 |
41 |
150 |
300 |
6 |
| Percent of low-income adults at or below 250% of poverty level with ADL disability and enrolled in Medicaid or other public health insurance, age 21 |
2008-09 |
48.5 |
49.9 |
62.2 |
63.6 |
33 |
| Medicaid LTSS participant years per 100 adults with ADL disability in nursing homes or living in the community at or below 250% of poverty level, age 21 |
2007 |
31.2 |
36.1 |
63.4 |
74.6 |
28 |
| Ability to access LTSS system through ADRC or other single entry point (composite indicator, rated on 0–12 scale) |
2010 |
5.1 |
7.7 |
10.5 |
11 |
42 |
| Choice of Setting & Provider |
2011 Scorecard |
36 |
| Percent of Medicaid and state-funded LTSS spending going to home- and community-based services for older people and adults with physical disabilities |
2009 |
25.2 |
29.7 |
59.9 |
63.9 |
36 |
| Percent of new Medicaid LTSS users first receiving services in the community |
2007 |
31.6 |
49.9 |
77.1 |
83.3 |
38 |
| Number of people with disabilities directing own services, per 1,000 adults age 18 |
2010 |
13.40 |
8 |
69.4 |
142.7 |
15 |
| Tools and programs to facilitate consumer choice (composite indicator, rated on 0–4 scale) |
2010 |
2.40 |
2.75 |
3.79 |
4.00 |
30 |
| Home health and personal care aides per 1,000 population age 65 |
2009 |
18 |
34 |
88 |
108 |
48 |
| Assisted living and residential care units per 1,000 population age 65 |
2010 |
47 |
29 |
64 |
80 |
9 |
| Percent of nursing home residents with low care needs |
2007 |
13.6 |
11.9 |
5.4 |
1.3 |
30 |
| Quality of Life & Quality of Care |
2011 Scorecard |
6 |
| Percent of adults age 18 with disabilities living in the community who usually or always get needed support |
2009 |
71.7 |
68.5 |
75.5 |
78.2 |
16 |
| Percent of adults age 18 with disabilities living in the community who are satisfied or very satisfied with life |
2009 |
89.1 |
85.0 |
90.9 |
92.4 |
5 |
| Rate of employment for adults with ADL disability relative to rate of employment for adults without ADL disability, ages 18–64 |
2008-2009 |
28.4 |
24.2 |
42.4 |
56.6 |
12 |
| Percent of high-risk nursing home residents with pressure sores |
2008 |
7.4 |
11.1 |
7.2 |
6.6 |
4 |
| Percent of long-stay nursing home residents who were physically restrained |
2008 |
1.1 |
3.3 |
1.3 |
0.9 |
2 |
| Nursing home staffing turnover: ratio of employee terminations to average number of active employees |
2008 |
47.8 |
46.9 |
27.2 |
18.7 |
26 |
| Percent of long-stay nursing home residents with hospital admission |
2008 |
17.8 |
18.9 |
10.4 |
8.3 |
20 |
| Percent of home health episodes of care in which interventions to prevent pressure sores were included in care plan for at-risk patients |
2010 |
88 |
90 |
95 |
97 |
35 |
| Percent of home health patients with hospital admission |
2008 |
28.0 |
29.0 |
23.2 |
21.8 |
22 |
| Support for Family Caregivers |
2011 Scorecard |
13 |
| Percent of caregivers who usually or always get needed support |
2009 |
78.7 |
78.2 |
82.2 |
84 |
20 |
| Legal and system supports for caregivers (composite indicator, rated on 0–12 scale) |
2010 |
2.30 |
3.17 |
5.9 |
6.43 |
37 |
| Number of health maintenance tasks able to be delegated to LTSS workers |
2011 |
16 |
7.5 |
16 |
16 |
1 |